Travel Health Prohttp://travelhealthpro.org.uk/TravelHealthPro is the website comprising the travel health resources of the National Travel Health Network and Centre (NaTHNaC).Yellow fever in Nigeriahttps://ncdc.gov.ng/diseases/sitreps/?cat=10&name=An%20update%20of%20Yellow%20Fever%20outbreak%20in%20NigeriaSince January 2019 a total of 930 suspected cases of yellow fever cases have been reported. 332 of these cases (3 presumed confirmed cases) were reported during the month of April.Ebola in DRChttps://www.who.int/csr/don/23-may-2019-ebola-drc/en/As of 23 May 2019, 1,866 cases (1,778 confirmed and 88 probable) have been reported, including 1,241 deaths.Malaria in Venezuelahttps://apps.who.int/iris/bitstream/handle/10665/275867/9789241565653-eng.pdf?ua=1The World Health Organization, World Malaria Report 2018 shows a sharp increase in reported malaria cases between 2010 and 2017 in Venezuela. Bolivar state reported many of the cases.Crimean-Congo haemorrhagic fever in Namibiahttps://apps.who.int/iris/bitstream/handle/10665/324819/OEW20-1319052019.pdfAs of 15 May 2019, seven suspected cases of Crimean-Congo haemorrhagic fever were reported from five regions, including one laboratory confirmed case and one death. Forty-five close contacts, including healthcare workers and family members are being followed up for 14 days.Rabies in Brazilhttp://www.dive.sc.gov.br/index.php/arquivo-noticias/865-santa-catarina-registra-primeiro-caso-de-raiva-humana-em-38-anos?fbclid=IwAR3Acl0uCzX1NFsYglRl3IzpipmgyWQnHXNVzZszjpe-hVjG-O_2a52lif4On 4 May 2019, a death from rabies was confirmed in a 58 year old woman living in the municipality of Gravatal, Santa Catarina State. This is the first human case of rabies in the state since 1981.Lassa fever in Nigeriahttps://ncdc.gov.ng/diseases/sitreps/?cat=5&name=An%20update%20of%20Lassa%20fever%20outbreak%20in%20NigeriaAs of 12 May 2019, a total of 569 confirmed cases and 128 deaths, have been reported from 21 states.Dengue in Reunionhttps://ecdc.europa.eu/sites/portal/files/documents/communicable-disease-threats-report-12-may-2019.pdfAs of 14 May 2019, R&eacute;union has detected approximately 10,000 confirmed and 30,000 suspected cases since the beginning of 2019, including four deaths. R&eacute;union reported 2,795 confirmed cases for the same period in 2018.E. coli in USAhttps://www.cdc.gov/ecoli/2019/o103-04-19/index.htmlThe US Department of Agriculture is investigating a multistate outbreak of Shiga toxin-producing Escherichia coli O103 infections linked to ground beef. As of 13 May 2019, a total of 196 people infected with the outbreak strain of E. coli O103 have been reported from 10 states.cVDPV2 in DRChttps://apps.who.int/iris/bitstream/handle/10665/312254/OEW18-290405052019.pdfOne case of circulating vaccine-derived poliovirus type 2 (cVDPV2) was reported this week in the Democratic Republic of the Congo in Kamonia, Kasai State. The onset of paralysis was reported on 8 February 2019. This is the first cVDPV case in DRC in 2019. DRC is affected now by five separate cVDPV2 outbreaks.Measles in Tunisiahttps://www.who.int/csr/don/09-may-2019-measles-tunisia/en/From 1 January through 30 April 2019, the Ministry of Health in Tunisia responded to a large measles outbreak in the country. A total of 3,141 suspected cases, of which 909 were laboratory confirmed and 1,236 epidemiologically linked cases including 30 deaths, have been reported in all of the 24 governorates. The majority of cases were reported from Kasserine (1,274 cases) and Sfax (212 cases) governorates.Monkeypox in Singapore ex Nigeriahttps://www.moh.gov.sg/news-highlights/details/confirmed-imported-case-of-monkeypox-in-singaporeThe Ministry of Health (MOH) has confirmed one imported case of monkeypox infection in Singapore. The patient is a 38-year-old Nigerian national who arrived in Singapore alone on 28 April 2019, and was tested positive for monkeypox on 8 May. He is currently warded in an isolation ward at the National Centre for Infectious Diseases (NCID).Rabies in Brazilhttp://www.dive.sc.gov.br/index.php/arquivo-noticias/865-santa-catarina-registra-primeiro-caso-de-raiva-humana-em-38-Santa Catarina State, has reported a human rabies death in 58-year-old woman from Gravatal on 4 May 2019. This is the first human rabies case in the state since 1981. There was no information regarding a history of animal exposure.Measles in Tunisiahttps://www.who.int/csr/don/09-may-2019-measles-tunisia/en/From 1 January through 30 April 2019, the Ministry of Health in Tunisia responded to a large measles outbreak in the country. A total of 3,141 suspected cases, of which 909 were laboratory confirmed and 1,236 epidemiologically linked cases including 30 deaths, have been reported in all of the 24 governorates. The majority of cases were reported from Kasserine (1,274 cases) and Sfax (212 cases) governorates.Typhoid in UK ex Iraqhttps://www.thelancet.com/journals/laninf/article/PIIS1473-3099(19)30176-8/fulltext#Ceftriaxone-resistant Salmonella Typhi was identified in January 2019 in a traveller who had returned from Arba'een pilgrimage in Iraq in October 2018. The strain identified was the same as another reported in a traveller following a trip to Al Diwaniyah in Iraq.Crimean-Congo haemorrhagic fever in South Africahttp://www.nicd.ac.za/wp-content/uploads/2019/04/Crimean-Congo-haemorrhagic-fever.pdfA case of Crimean-Congo haemorrhagic fever (CCHF) was confirmed in a 58-year-old man, who was bitten by a number of ticks, from Kimberley, Northern Cape Province, in March 2019. This is the second case of CCHF in South Africa to date in 2019.Mayaro fever in Peruhttps://www.paho.org/hq/index.php?option=com_docman&view=download&category_slug=mayaro-fever-2323&alias=48374-1-may-2019-mayaro-fever-epidemiological-alert&Itemid=270&lang=enIn 2019, two cases were confirmed in Peru in the provinces of Quispicanchis (Cusco Region) and La Mar (Ayacucho Region).Mayaro fever in Ecuadorhttps://www.paho.org/hq/index.php?option=com_docman&view=download&category_slug=mayaro-fever-2323&alias=48374-1-may-2019-mayaro-fever-epidemiological-alert&Itemid=270&lang=enOn 26 April 2019, Ecuador reported five positive cases of Mayaro. The cases correspond to four different cantons: Guayaquil (2 cases), Portoviejo (1 case), Santo Domingo (1 case), and Babahoyo (1 case).MERS-CoV in Saudi Arabiahttps://ecdc.europa.eu/sites/portal/files/documents/communicable-disease-threats-report-28-april-2019_0.pdfAs of 29 April 2019, 11 of 13 regions in Saudi Arabia have reported 133 cases in 2019 and of these, two regions (Mecca and Medina) reported cases in the last seven days.Influenza A(H5N1) in Nepalhttp://www.searo.who.int/nepal/documents/emergencies/Avian_Influenza_A_In_Human/en/On March 24, 2019, a 21-year-old male was admitted to hospital with symptoms of fever and cough. Throat swab sample confirmed Influenza infection on March 25, 2019 and antiviral medication (Oseltamivir) was started from the same day. The patient died in hospital following respiratory complications while undergoing treatment on March 29, 2019. This is the first reported human case of Influenza A (H5N1) in Nepal. No additional case of infection with this virus has been reported by NPHL since then (as of May 2 2019).Rabies in Norway ex Philippineshttps://www.fhi.no/nyheter/2019/mistanke-om-tilfelle-av-rabies/On 3 May 2019, Norwegian authorities reported a fatal case of rabies in a returning traveller from the Philippines. The case was bitten by a dog during their trip but not receive pre or post exposure treatment. The case developed symptoms in late April and died on 6 May. Contact tracing of other travellers who also had contact with the same dog is underway.Diphtheria in Vanuatuhttps://www.unicef.org/pacificislands/1852_28184.htmlAs of 8 April 2019, the Ministry of Health confirmed two cases of diphtheria in Vanuatu.Anthrax in Hungaryhttps://www.antsz.hu/felso_menu/temaink/jarvany/Fertozo_betegsegek/fertozoIn April 2019, the Hungarian authorities have reported two outbreaks of anthrax in two bordering counties of B&aacute;cs-Kiskun and B&eacute;k&eacute;s. As of 26 April 2019, four cases of cutaneous anthrax (of which one was confirmed) and 30 exposed individuals who received antibiotic treatment were reported.Measles in Nigeriahttps://apps.who.int/iris/bitstream/handle/10665/312137/OEW17-2228042019.pdfFrom 1 January to 14 April 2019, a cumulative total of 20,127 cases with 50 deaths have been recorded from 621 Local Government Areas across 36 states and the Federal Capital Territory. Of 4,338 samples tested, 819 were laboratory-confirmed (IgM-positive) for measles infection. Borno and Katsina states are the most affected constituting 48.4% and 13.3% of the cumulative cases, respectively.Dengue in Vanuatuhttps://reliefweb.int/report/vanuatu/dengue-outbreak-vanuatu-situational-report-03-24-apr-2019Between 1 January and 16 April 2019, there have been a total of 216 suspected dengue cases reported including 18 confirmed cases. Between 8 and 16 April, 42 suspected dengue cases reported in Port Vila and Luganville and four cases were confirmed positive for dengue in Luganville only.Measles in DRChttps://reliefweb.int/sites/reliefweb.int/files/resources/OEW16-1521042019_0.pdfAs of 7 April 2019, a total of 56,442 cases of measles including 1,023 deaths have been reported since the beginning of the year. The most affected provinces are Tshopo, Lualaba, and Upper Lomami.Chikungunya in Congohttps://reliefweb.int/sites/reliefweb.int/files/resources/OEW16-1521042019_0.pdfAs of 7 April 2019, a total of 5,272 suspected cases of chikungunya have been reported (of which 61 have been laboratory confirmed). Cases are reported in 8 out of 12 departments: Kouilou, Bouenza, Pointe Noire, Plateaux, Pool, Niari, L&eacute;koumou and Brazzaville.The department of Kouillou is the most affected with 41% of cases reported.Measles in Chadhttps://reliefweb.int/sites/reliefweb.int/files/resources/OEW16-1521042019_0.pdfAs of 7 April 2019, a total of 10,333 suspected measles cases have been reported from 112 out of 126 districts in the country.Cholera in Mozambiquehttps://reliefweb.int/sites/reliefweb.int/files/resources/OEW16-1521042019_0.pdfAs of 18 April 2019, a total of 6,385 cases have been reported (8 deaths). These cases were reported from four districts of Sofala Province namely Beira, Buzi, Dondo and Nhamatanda.Measles in Madagascarhttps://apps.who.int/iris/bitstream/handle/10665/311934/OEW15-0814042019.pdfFrom 3 September 2018 to 4 April 2019, a total of 123,093 cases have been reported (1169 laboratory confirmed, the rest epidemiologically linked).Cholera in Kenyahttps://apps.who.int/iris/bitstream/handle/10665/311934/OEW15-0814042019.pdfAs of 8 April 2019, 1212 cases of cholera (56 confirmed) have been reported in Narok, Kajiado, Garissa, Machakos and Nairobi counties.Dengue in French Polynesiahttps://www.service-public.pf/dsp/2019/04/11/epidemie-dengue/As of 10 April 2019 an outbreak of dengue type 2 has been confirmed in Tahiti. This is the first confirmed outbreak since 2000.Zika in Denmark ex Thailandhttps://ecdc.europa.eu/sites/portal/files/documents/zika-risk-assessment-9-april-2019.pdfAs of 9 April 2019, two travel-related Zika cases, in Danish residents who visited Thailand, have been reported for 2019.Zika in Norway ex Thailandhttps://ecdc.europa.eu/sites/portal/files/documents/zika-risk-assessment-9-april-2019.pdfAs of 9 April 2019, a travel-related Zika case, in a Norwegian resident who visited Thailand, has been reported for 2019.Measles in USAhttps://www1.nyc.gov/office-of-the-mayor/news/186-19/de-blasio-administration-s-health-department-declares-public-health-emergency-due-measles-crisis#/0On April 9 2019, New York City has declared a public health emergency in Williamsburg, following a measles outbreak affecting the Orthodox Jewish community. 285 cases have been confirmed since the beginning of the outbreak in October, with many of these new cases being confirmed in the last two months. The vast majority of cases are children under 18 years of age (246 cases), and 39 cases are adults.Influenza A(H7N9) in Chinahttps://www.info.gov.hk/gia/general/201904/05/P2019040500475.htmThe Centre for Health Protection of the Department of Health received notification of a human case of avian influenza A (H7N9) in Gansu from the National Health Commission on 5 April 2019. The case is a 82 year male from Jiuquan. This is the first case reported in the Mainland this year.Influenza A(H5N1) in Indiahttp://www.oie.int/wahis_2/public/wahid.php/Reviewreport/Review?page_refer=MapFullEventReport&reportid=30053As of 4 April 2019, cases of avian influenza (H5N1) have been reported in farmed birds in Orissa.Yellow fever in Brazilhttp://portalarquivos2.saude.gov.br/images/pdf/2019/abril/04/Informe-FA-n10-abril-2019.pdfAs of 29 March 2019, a total of 75 confirmed human cases have been reported in Sao Paulo, Parana and Santa Catarina states, including 17 deaths since July 2018. Cases in monkeys have also been reported in Sao Paulo, Rio de Janeiro, Minas Gerais, Mato Grosso and Parana states.Meningitis in Togohttps://apps.who.int/iris/bitstream/handle/10665/311613/OEW13-2531032019.pdfAs of 27 March 2019, 147 cases of meningitis including six deaths in Kpendjal-West district. Of the 110 samples analyzed, the predominant pathogen was Neisseria meningitidis serogroup C.&nbsp;Yellow fever in Brazilhttps://www.sc.gov.br/index.php/noticias/temas/saude/dive-sc-confirma-obito-por-febre-amarela-em-santa-catarinaThe Office of Epidemiological Surveillance of Santa Catarina, has confirmed a death due to yellow fever in a 36 year old patient living in Joinville on 12 March 2019. The man had not received a vaccine. This is the first autochthonous case (and death) of yellow fever reported in Santa Catarina since 1966.Dengue in Brazilhttp://portalms.saude.gov.br/noticias/agencia-saude/45314-cresce-em-264-o-numero-de-casos-de-dengue-no-paisBrazil's Ministry of Health have reported a 264% increase in dengue cases in the country, from 62,900 in the first 11 weeks of 2018 to 229,064 in the same period in 2019 (up to 16 March).Measles in Hong Konghttps://www.info.gov.hk/gia/general/201903/26/P2019032600973.htmIn 2019, as of March 27, the Centre for Health Protection of the Department of Health received notification of 30 cases of measles infection. Some of the cases involved workers at the Hong Kong International Airport (HKIA).Acute watery diarrhoea/cholera in Yemenhttps://reliefweb.int/report/yemen/two-years-worlds-largest-outbreak-acute-watery-diarrhea-and-cholera-yemen-witnessingAs of 17th March 2019, nearly 109,000 cases of severe acute watery diarrhoea and suspected cholera were reported with 190 associated deaths since the beginning of 2019. Nearly one third of the reported cases are children under the age of five years old.Measles in Philippineshttps://reliefweb.int/report/philippines/ndrrmc-update-sitrep-no-13-re-measles-outbreak-26-march-2019-500-pmA total of 23,563 cases of measles were reported between 01 January 2019 and 21 March 2019.Cholera in Zambiahttps://apps.who.int/iris/bitstream/handle/10665/311482/OEW12-1824032019.pdfFrom 16 to 22 March 2019, a total of 45 cases of cholera with three deaths were reported in Nsama district, Northern Province, of which six have been laboratory confirmed.Lassa fever in Liberiahttps://apps.who.int/iris/bitstream/handle/10665/311482/OEW12-1824032019.pdfAs of 23 March 2019, 36 cases of lassa fever, 16 confirmed, have been reported including seven deaths.Psittacocis in Swedenhttps://www.folkhalsomyndigheten.se/smittskydd-beredskap/utbrott/aktuella-utbrott/psittakos-vintern-2018-1019/Since November 2018, sixty cases of psittacocis have been reported in cases who have mostly been in contact with wild birds, a smaller number are believed to have been infected by domestic parrots.Diphtheria in Venezuelahttps://reliefweb.int/sites/reliefweb.int/files/resources/2019-March-18-phe-epi-update-diphtheria.pdfIn Venezuela, the diphtheria outbreak that began in July 2016 remains ongoing. Since the beginning of the outbreak until 24 February 2019, a total of 2726 suspected cases were reported; of these, 1612 were confirmed.Diphtheria in Haitihttps://reliefweb.int/sites/reliefweb.int/files/resources/2019-March-18-phe-epi-update-diphtheria.pdfAs of 24 February 2019, 25 cases of diphtheria (21 probable, four confirmed) were reported in 2019. Since 2014, 808 probable cases and 270 confirmed cases have been reported.Monkeypox in Congohttps://apps.who.int/iris/bitstream/handle/10665/311346/OEW11-1117032019.pdfThe Republic of Congo has reported nine cases of monkeypox since February 2019. Two samples from Makontipoko village in Gambona district tested in the INRB-Kinshasa turned positive for monkeypox.Lassa fever in Sierra Leonehttps://apps.who.int/iris/bitstream/handle/10665/311346/OEW11-1117032019.pdfAs of 14 March 2019, a second case of lassa fever was reported from Yorgoima, Dodo Chiefdom, Kenema District and died on 20 February 2019.Polio: Public Health Emergency of International Concernhttp://travelhealthpro.org.uk/news/396/polio-public-health-emergency-of-international-concernhttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/polio-virus.jpgAn update on the polio Public Health Emergency of International Concern (PHEIC)Polio: Public Health Emergency of International Concernhttp://travelhealthpro.org.uk/news/365/polio-public-health-emergency-of-international-concernhttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/network-global-world.jpgAn update on the polio Public Health Emergency of International Concern (PHEIC)Polio: Public Health Emergency of International Concernhttp://travelhealthpro.org.uk/news/347/polio-public-health-emergency-of-international-concernhttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/world-banner.jpgAn update on the polio Public Health Emergency of International Concern (PHEIC)Country requirements for an International Certificate of Vaccination or Prophylaxis (ICVP): key changes for 2018http://travelhealthpro.org.uk/news/332/country-requirements-for-an-international-certificate-of-vaccination-or-prophylaxis-icvp-key-changes-for-2018https://travelhealthpro.org.uk/media_lib/mlib-uploads/full/Yellow-fever-certificate.jpgTravelHealthPro has been updated to reflect updates to yellow fever recommendations and certificate requirementsPolio: Public Health Emergency of International Concernhttp://travelhealthpro.org.uk/news/315/polio-public-health-emergency-of-international-concernhttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/polio-vaccine-pakistan.jpgAn update on the polio Public Health Emergency of International Concern (PHEIC)Worldwide rabies risk reminderhttp://travelhealthpro.org.uk/news/310/worldwide-rabies-risk-reminderhttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/drooling-dog.jpgA reminder for travellers of the worldwide risk of rabiesPolio: Public Health Emergency of International Concernhttp://travelhealthpro.org.uk/news/298/polio-public-health-emergency-of-international-concernhttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/polio-vaccine-pakistan.jpgAn update on the polio Public Health Emergency of International Concern (PHEIC)Polio: Public Health Emergency of International Concernhttp://travelhealthpro.org.uk/news/277/polio-public-health-emergency-of-international-concernhttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/polio-vaccine-pakistan.jpgAn update on the polio Public Health Emergency of International Concern (PHEIC)Presenting NaTHNaC malaria maps 2017http://travelhealthpro.org.uk/news/263/presenting-nathnac-malaria-maps-2017https://travelhealthpro.org.uk/media_lib/mlib-uploads/full/china-post-image.pngWhat’s in a map?Polio: Public Health Emergency of International Concern- updatehttp://travelhealthpro.org.uk/news/246/polio-public-health-emergency-of-international-concern-updatehttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/polio-vaccine-pakistan.jpgAn update on the polio Public Health Emergency of International Concern (PHEIC)Polio: Public Health Emergency of International Concern- updatehttp://travelhealthpro.org.uk/news/214/polio-public-health-emergency-of-international-concern-updatehttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/polio-vaccine-pakistan.jpgAn update on the polio Public Health Emergency of International Concern (PHEIC)Changes to the Country Information pages: Tick-borne encephalitishttp://travelhealthpro.org.uk/news/208/changes-to-the-country-information-pages-tick-borne-encephalitishttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/hiking.jpgNaTHNaC has reviewed and updated the tick-borne encephalitis country specific information in order to provide up-to-date recommendations for travellers and travel health professionalsPolio: Public Health Emergency of International Concern updatehttp://travelhealthpro.org.uk/news/168/polio-public-health-emergency-of-international-concern-updatehttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/polio-vaccine-pakistan.jpgAn update on the polio Public Health Emergency of International Concern (PHEIC)Website updates and new featureshttp://travelhealthpro.org.uk/news/163/website-updates-and-new-featureshttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/boy-playing-with-model-aeroplane.jpgYou can now download Country Pages, access a new eBook and a slicker, faster World OverviewPolio: Public Health Emergency of International Concern updatehttp://travelhealthpro.org.uk/news/150/polio-public-health-emergency-of-international-concern-updatehttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/world-banner.jpgAn update on the polio Public Health Emergency of International Concern (PHEIC)Changes to Country Information pages: polio vaccinationhttp://travelhealthpro.org.uk/news/11/changes-to-country-information-pages-polio-vaccinationhttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/polio-vaccine-pakistan.jpgNaTHNaC changes polio vaccine recommendations for South Sudan following statement from WHO 9th Emergency Committee statement to reduce international spread of polioPolio affected countries: update to country statushttp://travelhealthpro.org.uk/news/81/polio-affected-countries-update-to-country-statushttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/world-banner.jpgLatest on WHO temporary recommendations to prevent the international spread of wild poliovirusPrivate: Updated polio vaccine recommendationshttp://travelhealthpro.org.uk/news/94/private-updated-polio-vaccine-recommendationshttps://travelhealthpro.org.uk/media_lib/mlib-uploads/full/polio-vaccine-pakistan.jpgWHO Polio vaccine recommendations for travellers from England, Wales and Northern Ireland
Private: Polio exporting countries: Afghanistan and Pakistanhttp://travelhealthpro.org.uk/news/95/private-polio-exporting-countries-afghanistan-and-pakistanRecommendations for UK travellers to polio exporting countries: Afghanistan and PakistanPolio: exportations from Afghanistanhttp://travelhealthpro.org.uk/news/124/polio-exportations-from-afghanistanAfghanistan: evidence of polio spread to Pakistan and polio vaccine recommendations for travellers